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Treatment Systems for Population Management of Substance Use Disorders: Requirements and Priorities from a Public Health Perspective

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Textbook of Addiction Treatment: International Perspectives

Abstract

This chapter describes the requirements and priorities of service systems designed to treat persons with substance use disorders. Research and theory are reviewed to inform policymakers, program administrators, and treatment providers about the best ways to organize or to expand treatment services using a public health systems perspective, which is concerned primarily with how services contribute to the health and welfare of a population. The requirements of a service system include sound policies (especially stable financing); appropriate structural features, such as facilities and trained personnel; and services that are accessible, affordable, and integrated. The priorities for establishing such a system will depend on the assessment of population needs, as well as needs-based planning and the support of mutual help organizations. It is concluded that a public health approach to the development of treatment systems provides a useful way of responding to the changing needs of the population in relation to substance use disorders.

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References

  • Aasland OG, Johannesen A (2008) Screening and brief intervention for alcohol problems in Norway. Not a big hit among general practitioners. Nordic Stud Alcohol Drugs 25:515–522

    Google Scholar 

  • Babor TF, Del Boca FK (eds) (2003) Treatment matching in alcoholism. Cambridge University Press, Cambridge, UK

    Google Scholar 

  • Babor TF, Poznyak V (2010) The World Health Organization substance abuse instrument for mapping services. Rationale, structure and functions. Nordic Stud Alcohol Drugs 27:703–711

    Google Scholar 

  • Babor T, Caulkins J, Edwards G, Fischer B, Foxcroft D, Humphreys K, Obot I, Rehm J, Reuter P, Room R, Rossow I, Strang J (2010) Drug policy and the public good. Oxford University Press, Oxford

    Google Scholar 

  • Babor TF, McRee B, Kassebaum P, Grimaldi P, Ahmed K, Bray J (2007) Screening, Brief Intervention, and Referral to Treatment (SBIRT): toward a public health approach to the management of substance abuse. Subst Abus 28:7–30

    Article  PubMed  Google Scholar 

  • Babor TF, Stenius K, Romelsjo A (2008) Alcohol and drug treatment systems in public health perspective: mediators and moderators of population effects. Int J Methods Psychiatr Res 17(S1):S50–S59

    Article  PubMed  Google Scholar 

  • Barfod S (2008) A GP’s reflections on brief intervention in primary health care in Denmark. Nordic Stud Alcohol Drugs 25:523–528

    Google Scholar 

  • Bray J, Hayashi S, Babor T, Clark W (in press) Screening, Brief Intervention, and Referral to Treatment (SBIRT): rationale, program overview and cross-site evaluation. Addiction

    Google Scholar 

  • Bukten A, Skurtveit S, Gossop M et al (2012) Engagement with opioid maintenance treatment and reductions in crime: a longitudinal national cohort study. Addiction 107:393–399

    Article  PubMed  Google Scholar 

  • Cooney NL, Babor TF, DiClemente CC, Del Boca FK (2003) Clinical and scientific implications of project MATCH. In: Babor TF, Del Boca FK (eds) Treatment matching in alcoholism. Cambridge University Press, Cambridge, UK, pp 222–237

    Google Scholar 

  • Donald M, Dower J, Kavanagh D (2005) Integrated versus non-integrated management and care for clients with co-occurring mental health and substance use disorders: a qualitative systematic review of randomized controlled trials. Soc Sci Med 60:1371–1383

    Article  PubMed  Google Scholar 

  • Eibner C, Morral A, Pacula RL, MacDonald J (2006) Is the drug court model exportable? An examination of the cost-effectiveness of a Los Angeles-based DUI court. J Subst Abus Treat 31(1):75–85

    Article  Google Scholar 

  • Glaser FB, Greenberg SW, Barrett M (1978) A systems approach to alcohol treatment. Alcohol Research Foundation, Toronto

    Google Scholar 

  • Gustafson DH, Quanbeck AR, Robinson JM et al (2013) Which elements of improvement collaboratives are most effective? A cluster-randomized trial. Addiction 108:1145–1157

    Article  PubMed Central  PubMed  Google Scholar 

  • Holder H, Parker RN (1992) Effect of alcoholism treatment on cirrhosis mortality: a 20-year multivariate time series analysis. Br J Addict 87:1263–1274

    Article  CAS  PubMed  Google Scholar 

  • Humphreys K (2004) Circles of recovery: self-help organizations for addictions. Cambridge University Press, Cambridge, UK

    Google Scholar 

  • Humphreys K, McLellan T (2011) A policy-oriented review of strategies for improving the outcomes of services for substance use disorder patients. Addiction 106:2058–2066

    Article  PubMed  Google Scholar 

  • Huntington D, Banzon E, Recidoro Z (2012) A system approach to improving maternal health in the Philippines. Bull World Health Organ 90:104–110

    Article  PubMed Central  PubMed  Google Scholar 

  • Institute of Medicine (1990) Broadening the base of treatment for alcohol problems. National Academy Press, Washington, DC

    Google Scholar 

  • Klingemann H, Hunt G (eds) (1998) Treatment systems in an international perspective: drugs, demons and delinquents. SAGE Publications, Thousand Oaks/London/New Delhi, pp 3–19

    Google Scholar 

  • Klingemann H, Takala JP, Hunt G (1992) Cure, care or control: alcoholism treatment in sixteen countries. State University of New York Press, Albany

    Google Scholar 

  • Klingemann H, Takala JP, Hunt G (1993) The development of alcohol treatment systems: an international perspective. Alcohol Health Res World 3:221–227

    Google Scholar 

  • Kuussaari K, Partanen A (2010) Administrative challenges in the Finnish alcohol and drug treatment system. Nordic Stud Alcohol Drugs 27:667–684

    Google Scholar 

  • Madras B, Compton W, Avulac D, Stegbauerc T, Steinc J, Clark HW (2009) Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: Comparison at intake and 6 months later. Drug and Alcohol Dependence 99:280–295

    Article  PubMed Central  PubMed  Google Scholar 

  • Mäkelä K, Room R, Single E, Sulkunen P, Walsh B (1981) Alcohol, society, and the state. A comparative study of alcohol control, vol 1. Alcohol Research Foundation, Toronto

    Google Scholar 

  • Mann RE, Smart R, Anglin L, Rush B (1988) Are decreases in liver cirrhosis rates a result of increased treatment for alcoholism. Br J Addict 83:683–688

    Article  CAS  PubMed  Google Scholar 

  • Marsch L (1998) The efficacy of methadone maintenance interventions in reducing illicit opiate use, HIV risk behavior and criminality: a meta-analysis. Addiction 93:515–532

    Article  CAS  PubMed  Google Scholar 

  • McCrady B, Miller W (1993) Research on alcoholic anonymous. Opportunities and alternatives. Rutgers Center of Alcohol Studies, New Brunswick

    Google Scholar 

  • McRee B, Tait E, Hernandez A, Del Boca F, Aldridge A, Dowd W (in press) SBIRT program impact on existing medical and substance abuse treatment systems. Addiction

    Google Scholar 

  • Myers B, Louw J, Pasche S (2011) Gender differences in barriers to alcohol and other drug treatment in Cape Town, South Africa. Afr J Psychiatry (South Afr) 14:146–153

    CAS  Google Scholar 

  • Niccols A, Milligan K, Smith A et al (2012) Integrated programs for mothers with substance abuse issues and their children: a systematic review of studies reporting on child outcomes. Child Abuse Negl 36:308–322

    Article  PubMed  Google Scholar 

  • Ouimette PC, Finney JW, Gima K, Moos RH (1999) A comparative evaluation of substance abuse treatment: examining mechanisms underlying patient-treatment matching hypotheses for 12-step and cognitive-behavioral treatments for substance abuse. Alcohol Clin Exp Res 23:545–551

    Article  CAS  PubMed  Google Scholar 

  • Ritter A, Berends L, Clemens C, Devaney M, Bowen K, Tiffen R (2003) Pathways: a review of the Victorian drug treatment service system. Final report. Turning Point Alcohol and Drug Centre, Melbourne

    Google Scholar 

  • Ritter A, Chalmers J, Sunderland M (2013) Planning for drug treatment services: estimating population need and demand for treatment drug policy modelling program. National Drug and Alcohol Research Centre, University of New South Wales. http://economia.uniandes.edu.co/content/download/46991/393951/file/Alison_Ritter.pdf

  • Room R (2010) Alcohol and drug treatment systems: what is meant, and what determines their development. Nordic Stud Alcohol Drugs 27:575–579

    Google Scholar 

  • Rush B (2010) Tiered frameworks for planning substance use service delivery systems: Origins and key principles. Nordic Stud Alcohol and Drugs 27:617–636

    Google Scholar 

  • Rush B, Tremblay J, Fougere C, Perez W, Fineczko J (2013) Development of a needs-based planning model for substance use services and supports in Canada: Final report. Centre for Addiction and Mental Health, Toronto, ON

    Google Scholar 

  • Seale JP, Monteiro M (2008) The dissemination of screening and brief intervention for alcohol problems in developing countries: lessons from Brazil and South Africa. Nordic Stud Alcohol Drugs 25:565–577

    Google Scholar 

  • Seppä K, Kuokkanen M (2008) Implementing brief alcohol intervention in primary and occupational health care. Reflections on two Finnish projects. Nordic Stud Alcohol Drugs 25:505–514

    Google Scholar 

  • Smart RG, Mann RE (2000) The impact of programs for high-risk drinkers on population levels of alcohol problems. Addiction 95:37–52

    Article  CAS  PubMed  Google Scholar 

  • Souria JC (1990) A history of alcoholism. Basil Blackwell, Oxford

    Google Scholar 

  • Souza-Formigoni M, Boerngen-Lacerda R, Vianna VP (2008) Implementing screening and brief intervention in primary care units in two Brazilian states: a case study. Nordic Stud Alcohol Drugs 25:553–564

    Google Scholar 

  • Stenius K, Witbrodt J, Engdahl B, Weisner C (2010) For the marginalized, or for the integrated? A comparative study of the treatment systems in Sweden and the US. Contemp Drug Probl 37:417–448

    Article  Google Scholar 

  • Timko C, Moos RH, Finney JW, Lesar MD (2000) Long-term outcomes of alcohol use disorders: comparing untreated individuals with those in alcoholics anonymous and formal treatment. J Stud Alcohol 61:529–538

    Article  CAS  PubMed  Google Scholar 

  • Ungemack J, Babor TF, Bidiorini A (2001) Connecticut compendium on substance abuse treatment need. Department of Mental Health and Addiction Services, Hartford

    Google Scholar 

  • Walsh DC, Hingson RW, Merrigan DM, Levenson SM, Cupples LA, Heeren T, Coffman GA, Becker CA, Barker TA, Hamilton SK, McGuire TG, Kelly CA (1991) A randomized trial of treatment options for alcohol-abusing workers. N Engl J Med 325:775–781

    Article  CAS  PubMed  Google Scholar 

  • White W (1998) Slaying the dragon: the history of addiction treatment and recovery in America. Chestnut Health Systems, Bloomington

    Google Scholar 

  • World Health Organization (2010) ATLAS on substance use: resources for the prevention and treatment of substance use disorders. WHO, France

    Google Scholar 

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Correspondence to Thomas F. Babor .

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Babor, T.F. (2015). Treatment Systems for Population Management of Substance Use Disorders: Requirements and Priorities from a Public Health Perspective. In: el-Guebaly, N., Carrà, G., Galanter, M. (eds) Textbook of Addiction Treatment: International Perspectives. Springer, Milano. https://doi.org/10.1007/978-88-470-5322-9_58

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  • DOI: https://doi.org/10.1007/978-88-470-5322-9_58

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  • Publisher Name: Springer, Milano

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  • Online ISBN: 978-88-470-5322-9

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